Dr Timothy N Lee, MD | |
919 S Church St, Smithfield, VA 23430-1715 | |
(757) 365-8018 | |
(757) 356-9451 |
Full Name | Dr Timothy N Lee |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 919 S Church St, Smithfield, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255366944 | NPI | - | NPPES |
005620015 | Medicaid | VA | |
393618 | Other | VA | ANTHEM PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101047603 (Virginia) | Primary |
Entity Name | Sentara Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466 |
Entity Name | Velocity Urgent Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205350584 PECOS PAC ID: 7618234980 Enrollment ID: O20171122001472 |
Mailing Address | Practice Location Address |
---|---|
Dr Timothy N Lee, MD 2800 Godwin Blvd, Ste 210, Suffolk, VA 23434-8038 Ph: (757) 934-4162 | Dr Timothy N Lee, MD 919 S Church St, Smithfield, VA 23430-1715 Ph: (757) 365-8018 |
Ms. Diane R Guendel, RN,MS,CPND Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 919 S Church St, Smithfield, VA 23430 Phone: 757-365-8079 Fax: 757-356-9451 | |
Donald E Soles Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 206 Gumwood Dr, Suite A, Smithfield, VA 23430 Phone: 757-365-9090 Fax: 757-365-9095 | |
Donald Wayne Lundie, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 919 S Church St, Smithfield, VA 23430 Phone: 757-365-8028 Fax: 757-356-9451 |